Individual
JORDAN DAVID BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5555 CONNER ST STE 3, DETROIT, MI 48213-3448
(313) 344-7730
Mailing address
18987 PINE CONE DR, MACOMB, MI 48042-4212
(586) 231-4861
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704327810
MI
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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